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Abstract 118 SUMMARY. CONCLUSIONS AND RECOMMENDATIONS SUMMARY To find-out the prevalences of parasitic infections among Egyptian pigs.slaughtered in EI-Basateen abattoir with special study of the histopathological changes with trichinosis and to study the effect of variable degrees of temperature. used in food preparation and preservation on the infectivity of Trichinella spiralis larvae, the following were done. 1- Slaughtered pigs during a period of one year. from June 1988 to June 1989 were examined for trichinosis by the direct muscle examination (Trichinoscopy) and for cysticercosis by the naked eye examination of cardiac and skeletal muscles to find-out cysticerci cellulosae, which were confirmed by histopathological examination. 2- Blood samples, randomly collected from 100 slaughtered pigs were examined by the indirect haemagglutination test for toxoplasmosis. 3- Two hundred samples of stool. randomly collected from slaughtered pigs were examined by the direct smear method for Balantidium coli infection. 4- Previous data in the preceding five years concerning trichinosis and cysticercosis among slaughtered pigs in the same abattoir were collected. 5- Samples of skeletal muscle (pillars of cardiac muscle, liver and kidney of 40 diaphragm) . Trichinella 119 infected and 10 healthy control pigs were examined histopathologically. 6- Experimental work : Using xenodiagnosis method according to seventy white rats free of intestinal groups. 10 rats each) were given a meal of infected pig’s meat (20 gm for each group). Groups A,B and C fed on infected meat boiled for 1/4, 1/2 and 1 hour respectivelY, groups E,F and G fed on infected meat kept at 4 C degrees for 3 days, 1 week and 2 weeks respectively, while group D fed on infected fresh meat (control) . Six weeks post-infection, blood films for differential leucocytic count were prepared, rats were killed and the whole diaphragm. tongue and calf muscles were dissected and examined by the direct muscle examination for ~ spiralis encysted larvae. Beck (1953), paras ites (7 ~ spiralis It was found that : 1- Out of 40634 slaughtered pigs, 2.33 % (948 pigs) and 0.08 % (33 pigs) showed trichinosis and cysticercosis respectively, with negligible change when compared with the mean prevalence of trichinosis (2.65%) and cysticercosis (0.1%) during the preceding five years recorded in the same abattoir. 2- Out of 100 slaughtered pigs. 14% (14 pigs) showed Toxoplasma antibodies in their sera. 120 3- Out of 200 slaughtered pigs. 81 % (162 pigs) showed Balantidium coli infection. 4- Hisopathological changes with trichinosis 1- Skeletal muscle ; All of the forty Trichinella infected pigs showed cellular infiltration around encysted larvae. consisting of lymphocytes. eosinophils. plasma cells. macrophages and giant cells. The relation between intensity of infection and grade of cellular infiltration was significant. All of the forty Trichinella infected pigs showed muscle necrosis and degeneration with a significant relation between intensity of infection and degree of muscle necrosis and degeneration. 11- Cardiac muscle : 19 out of 40 Trichinella infected pigs showed myocardial inflammatory infiltration. either scanty (9 pigs) consisting of lymphocytes or mild (10 pigs) consisting of lymphocytes. occasionallyeosinophils. 16 and 9 out of 40 Trichinella infected pigs showed plasma cells and mild and moderate cardiac muscle necrosis and degeneration respectively. 111- The kidney : Glomeruli : 11. 9 and 12 out of 40 Trichinella infected pigs showed mi ld , moderate and marked mesangial proliferation respectively. 121 Convoluted tubules All of the forty Trichinella infected pigs showed cloudy swelling of the convoluted tubules. Collecting tubules Only 4 pigs showed dilated collecting tubules. Interstitium 11. 7 and 8 out of 40 Trichinella infected pigs showed mild, moderate and marked interstitial inflammatory infiltration respectively. 22 and 2 out of 40 Trichinella infected pigs showed mild and moderate interstitial fibrosis respectively. IV- The liver: Portal tract 23 out of 40 Trichinella infected pigs showed inflammatory infiltration in their portal tracts. either scanty (4 pigs). mild (16 pigs) or moderate (3 pigs) consisting of lymphocytes. plasma cells. macrophages and eosinophils. 28 pigs showed portal tract fibrosis either mild (18 pigs). moderate (8 pigs}or marked (2 pigs). Hepatocytes 11. 3 and 8 out of 40 Trichinella infected pigs showed focal necrosis. cloudy swelling and hydropic degeneration of hepatocytes respectively. Kupffer cells 12 out of 40 Trichinella infected pigs showed hyperplasia of kupffer cells. 5- Experimental work results: 6 week post infection. direct muscle examination showed negative Trichinella infection of all rats fed on infected meat boiled either for 1/4. 1/2 or 1 hour. positive Trichinella infection of all rats fed on infected meat. kept at 4 C degrees either for 3 days. 1 week or 2 weeks and positive Trichinella infection of all rats fed on infected fresh meat. Eosinophilic counts of rats fed on boiled infected meat were within normal (2-5%). Rats fed on frozen meat showed eosinophilic counts of < 15 % in 2 rats. 15-30 % in 9 rats and> 30 % in 19 rats. Rats fed on infected fresh meat showed eosinophilic counts of < 15 % in one rat. 15- 30% in 3 rats and> 30 % in 6 rats. The lower and higher levels of eosinophilia recorded in Trichinella positively infected rats were 12 % and 62 % respectively. CONCLUSIONS During this work. many parasitic infections were recorded among Egyptian pigs slaughtered in El-Basateen abattoir. Recorded prevalences of trichinosis and cystricercosis were 2.33 % and 0.08 % respectively. with negligible change when compared with the mean prevalence of trichinosis (2.65%) and cysticercosis (0.1%) during the preceding five years. recorded in the same abattoir. Recorded prevalences of toxoplasmosis and balantidiasis were 14 % and 81 % respectively. 123 The presence of Trichinella encysted larvae in between skeletal muscle fibres enhances inflammatory infiltration or even granuloma-like reaction consisting of lymphocytes. eosinophils. macrophages. plasma and giant cells around encysted larvae. Fatty infiltration and degeneration may be present and muscle necrosis and degeneration is a constant finding. The more the intensity of infection. the severer will be the pathological changes within the skeletal muscles of Trichinella infected pigs. Passage of Trichinella larvae through the myocardium may enhance scanty or mild cellular infiltration. consisting of lymphocytes. plasma cells and occasionally eosinophils and may lead to cardiac muscle necrosis and degeneration as a direct mechanical damage or cardiotoxic effect. Trichinella infection in pigs is associated with serious pathological changes in their kidney tissue represented by mesangial proliferation. cloudy swelling of the convoluted tubules and cellular infiltration and fibrosis of the interstitium due to either passage of larvae. nephrotoxic effect or an immune complex reaction. Liver may be affected by trichinosis showing inflammatory infiltration and fibrosis of the portal tracts. cloudy swelling and hydropic degeneration of hepatocytes and may be hyperplasia of Kupffer cells due to either passage of larvae. hepatotoxic effect or an immunological reaction. 124 Proper cooking of pig’s meat by boiling for at least 1/4 hour is enough to kill encysted Trichinella larvae. provided that meat is in small pieces. while freezing at 4 C degrees even up to 2 weeks is not effective. High eosinophilia (> 20 %) is a constant finding in almost all rats with trichinosis. In absence of other parasitic infections, eosinophilic count can be used as a diagnostic tool in the muscular phase of trichinosis as well assessment of the effectiveness of therapy. RECOMMENDATIONS from the results recorded in the present study. it becomes clear that pigs are dangerous source of human infection with many serious fatal parasitic diseases, therefore breeding. slaughtering and eating pigs must be forbidden. If this is not possible. the following precautions must be followed: People has to be aware of hazards of eating pig’s meat. Farms and breeding places of pigs must be supervised medically by veterinary doctors. Refuse substances has to be treated chemically as they are the main food of pigs. Pigs in farms must not be allowed to eat raw garbage. Rats and cats control projects around breeding places has to be planned. There must be a medical program in the abattoir for 125 detecting Toxoplasma infected pigs which have to be condemned. Periodic stool examination for Balantidium coli infection must be done for people dealing with pigs in farms and abattoirs. and people showing infection must be treated. Proper cooking of pig’s meat by boiling for at least 1/4 hour. provided that meat is in small pieces is the only effective method for killing Trichinella encysted larvae. |